Robert Henderson, MD | |
1705 W 2nd St, Elk City, OK 73644-4455 | |
(580) 225-2511 | |
Not Available |
Full Name | Robert Henderson |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1705 W 2nd St, Elk City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417927468 | NPI | - | NPPES |
100096130A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16816 (Oklahoma) | Primary |
Entity Name | Kiowa County Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699758086 PECOS PAC ID: 7416948500 Enrollment ID: O20040519000013 |
Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
Entity Name | Mangum City Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033635263 PECOS PAC ID: 6305119942 Enrollment ID: O20181020000126 |
Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
Mailing Address | Practice Location Address |
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Robert Henderson, MD Po Box 47686, Wichita, KS 67201-7686 Ph: (316) 685-6236 | Robert Henderson, MD 1705 W 2nd St, Elk City, OK 73644-4455 Ph: (580) 225-2511 |
Brian E Blick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St Ste 101, Elk City, OK 73644 Phone: 580-339-8001 Fax: 580-339-8031 |